Background: Perceived stress during pregnancy is associated with adverse obstetric outcomes. Antenatal perceived stress is still unaware and under-diagnosed during routine antenatal care. There has not yet been a study of prevalence and associated factors among pregnant women living in urban areas in Thailand. Understanding antenatal perceived stress is important to improve maternal and neonatal outcomes.
Objective: To identify the prevalence, associated factors, and predictive factors of perceived stress in pregnant women living in an urban area.
Materials and Methods: This cross-sectional study was conducted from December 1, 2019 to February 29, 2020 among pregnant women attending antenatal care at the Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Bangkok, Thailand. The participants were interviewed using a structured questionnaire which included demographic data, obstetric data, serious life event data, and a Thai language version of the 10-item Perceived Stress Scale (T-PSS-10) to assess perceived stress symptoms.
Results: Of a total 403 pregnant women, the prevalence of perceived stress symptoms in antenatal pregnant women was 23.6%. Perceived stress symptoms were significantly associated with divorce (p=0.001), separation from spouse (p=0.005), physical or psychological trauma from family (p=0.005), marital conflict (p< 0.001), and family conflict (p< 0.001). Results from multiple logistic regression found that significant predictive factors for perceived stress symptoms in pregnant women were marital conflict (AOR 3.10, 95% CI 1.74– 5.52, p< 0.001) and family conflict (AOR 3.24, 95% CI 1.59– 6.60, p=0.001).
Conclusion: This study demonstrated that the prevalence of perceived stress symptoms in pregnant women living in an urban area in Thailand was 23.6%. Perceived stress symptoms were significantly associated with divorce, separation from spouse, physical or psychological trauma from family, marital conflict, and family conflict. Predictive factors for perceived stress symptoms were marital conflict and family conflict.



中文翻译：

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泰国城市接受产前护理的孕妇的压力感知及相关因素

背景：怀孕期间感知到的压力与不良产科结果相关。在常规产前护理期间，产前感知压力仍然没有意识到并且诊断不足。尚未对泰国城市地区孕妇的患病率和相关因素进行研究。了解产前感知压力对于改善孕产妇和新生儿结局非常重要。
目的：确定居住在城市地区的孕妇感知压力的患病率、相关因素和预测因素。
材料和方法：这项横断面研究于 2019 年 12 月 1 日至 2020 年 2 月 29 日在泰国曼谷瓦吉拉医学院妇产科接受产前护理的孕妇中进行。参与者使用结构化问卷进行采访，其中包括人口统计数据、产科数据、严重生活事件数据和泰语版本的 10 项感知压力量表 (T-PSS-10)，以评估感知压力症状。
结果：在总共403名孕妇中，产前孕妇感知压力症状的发生率为23.6%。感知压力症状与离婚（p=0.001）、与配偶分居（p=0.005）、来自家庭的身体或心理创伤（p=0.005）、婚姻冲突（p<0.001）和家庭冲突（p<0.001）显着相关）。多元逻辑回归结果发现，孕妇感知压力症状的显着预测因素是婚姻冲突（AOR 3.10, 95% CI 1.74–5.52, p<0.001）和家庭冲突（AOR 3.24, 95% CI 1.59–6.60, p =0.001)。
结论：这项研究表明，居住在泰国城市地区的孕妇感知压力症状的流行率为 23.6%。感知到的压力症状与离婚、与配偶分离、来自家庭的身体或心理创伤、婚姻冲突和家庭冲突显着相关。感知压力症状的预测因素是婚姻冲突和家庭冲突。